SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.
OMB No. 1545-0047
2014
Open to Public
Inspection
Name of the organization
Clermont Counseling Center
 
Employer identification number

31-0834563
Return Reference Explanation
Form 990, Part VI, Section B, line 11 The 990 is reviewed by LifePoint Solutions staff, presented at the Finance Committee for review, and then presented at a board meeting prior to being filed.
Form 990, Part VI, Section B, line 12c The senior staff and Board of Directors review the conflict of interest policy on an annual basis and sign a statement attesting that they are not aware of any potential conflicts.
Form 990, Part VI, Section B, line 15 Executive compensation is determined based on the review by an independent person, voted on by the Executive Committee and documented in the minutes.
Form 990, Part VI, Section C, line 19 The governing documents are available on the Ohio Secretary of State's website. The conflict of interest policy and financial statements are available upon request.
Form 990, Part XII, Line 2c The Finance Committee is responsible for the oversight of the audit. This process has not changed from the prior year.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2014

Additional Data


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